Ten times more people are in hospital with flu than this time last year, latest figures show.
There were an average of 344 patients a day with flu in hospital last week, compared with the 31 seen at the beginning of December last year, according to data released by NHS England.
It comes amid pressures on staffing too, with new figures showing nearly 360,000 NHS staff were absent from work last week through illness or self-isolating due to COVID.
Around 19 in 20 general and acute beds were taken up – 80% for adult critical care, NHS England’s first weekly winter update also showed.
More than 13,000 (13,179) beds a day were taken up last week by patients who no longer needed one – this is up a quarter compared to the first week of December last year (10,510).
It follows a warning from NHS leaders that it is facing the threat of a “tripledemic” of COVID, flu and record demand on urgent and emergency services.
NHS England launched its annual 111 campaign today – urging people to use its online service to reduce “record” demand on accident and emergency (A&E) departments.
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People should still call 999 and go to A&E when someone is seriously ill or injured and their life is at risk, it added.
Flu season is here – and hitting the youngest and elderly hardest
Flu season is here and the warning about crippling winter pressure on the NHS is starting to come true.
We monitor what happens with flu in the southern hemisphere to try and predict what impact the virus will have on us when winter comes. It hit Australia hard and early and that could be repeated here in the next few months.
Already hundreds of NHS beds in England were taken up by patients with flu every day over the last week, according to the latest data. An average of 344 patients a day with flu were in hospital last week. That’s more than ten times the number seen at the beginning of December last year.
Flu hits the youngest and elderly hardest. It is especially dangerous for children with underlying health conditions. Children’s doctors say “paediatric winter” has started.
November is when RSV (respiratory syncytial virus) cases spike. It is a common winter virus but social distancing during the pandemic means it has not circulated widely over the past two years. That also means young children have not been exposed to these winter respiratory viruses before.
As RSV cases start to decline towards the end of November flu cases start to rise.
Paediatricians are really worried about a shortage of intensive care beds for very sick children.
A senior consultant told me: “There have been hardly any PICU (paediatric intensive care unit) beds in the south of the UK for the last few days and children are waiting sometimes more than 24 hours in the EDs?
“The situation for children is awful but no one seems to be mentioning it. Whereas for adults it is always made clear how awful it is. It is probably as bad if not worse for children.”
Sky News has been told there are concerns over the number of paediatric ICU beds available in some parts of the country.
The latest data shows last Thursday there were as few as 33 spare beds available in England – that’s lower than at any point last winter.
While the exact figures might change slightly over the next two weeks, NHS England has confirmed there is higher PICU (paediatric intensive care unit) occupancy this month compared with previous years.
The Paediatric Critical Care Society told Sky News: “Many PICUs are at, or over, their staffed bed capacity. This situation is likely to continue, or even worsen, over the coming months.”
They said staff shortages, and an increasing number of complex patients are impacting capacity.
Some hospitals are operating on a one in one out policy with patients being moved to other trusts or being treated in the community to help alleviate the pressure, however, it said all children who need to be treated in hospital are receiving the appropriate treatment.
Camilla Kingdon, president of the Royal College of Paediatrics and Child Health, told Sky News “We are concerned to hear reports of PICU bed shortages in parts of the country. We know paediatric teams are exceptionally busy this winter as a result of ever rising demand and staffing issues.”
Image: File pic
Professor Sir Stephen Powis, NHS national medical director, said the NHS is likely to experience its “most challenging winter ever” this year, adding the threat of a “tripledemic” is very real.
“It has never been more important to get protected against the viruses ahead of winter,” he said.
“The NHS has extensive plans in place to deal with winter boosting bed capacity – recruiting more call handlers, introducing 24/7 control centres to track and manage demand and new falls services across the country,” he added.
“Hospitals continue to contend with more patients coming in than going out, with thousands of patients every day in hospital that are medically fit for discharge, and so we continue to work with colleagues in social care to do everything possible to ensure people can leave hospital when they are ready.”
Image: A poster put up in motorway service station toilets by the NCA. Pic: PA
According to the NCA, the enterprise is so prolific that it purchased a bank to facilitate payments that supported Russia’s military efforts and helped sidestep sanctions.
Posters have been put up in motorway service stations to target couriers, which warn it is “just a matter of time” before they will be arrested.
The NCA’s deputy director for economic crime, Sal Melki, has warned the threat posed by this money laundering network is significant.
He added: “Cash couriers play an intrinsic role in this global scheme. They are in our communities and making the criminal ecosystem function – because if you cannot profit from your crimes, why bother.
“They are paid very little for the risks they take and face years in prison, while those they work for enjoy huge profits.”
Mr Melki went on to warn that “easy money leads to hard time” – and earning just a few hundred pounds through laundering could lead to years behind bars.
Image: Sal Melki
The NCA says Operation Destabilise has already had an impact in criminal circles, with some members of the network now reluctant to operate in London.
Those involved in the money laundering effort have also started to charge higher fees – reflecting the difficulty of cleaning ill-gotten gains.
Cryptocurrencies are often regarded as a haven for criminals because they are perceived to be anonymous, but it is possible to trace these transactions.
Chainalysis is a company that monitors suspicious activity on blockchains, a type of database that keeps records of who sends and receives digital assets – as well as how much.
Its vice president of communications Madeleine Kennedy told Sky News: “Public blockchains are transparent by design, which makes cryptocurrencies a poor vehicle for money laundering.
“With the right tools, law enforcement can trace illicit funds – whether they’re connected to drug trafficking, sanctions evasion, or cybercrime – and use those insights to disrupt networks and recover assets.”
Last December, a global investigation led by the NCA smashed two networks whose money laundering activities were prevalent in 30 countries.
Bundles of cash were seized during raids, with detectives describing Smart and TGR as the invisible link between “Russian elites, crypto-rich cybercriminals and drug gangs in the UK”.
One of the network’s ringleaders, a Russian national called Ekatarina Zhdanova, is currently in custody in France and awaiting trial for separate financial offences.
Security minister Dan Jarvis added: “This complex operation has exposed the corrupt tactics Russia used to avoid sanctions and fund its illegal war in Ukraine.
“We are working tirelessly to detect, disrupt and prosecute anyone engaging in activity for a hostile foreign state. It will never be tolerated on our streets.”
Households and businesses will have to wait for energy bills to fall significantly because “there’s no shortcut” to bringing down prices, the energy minister has told Sky News.
Speaking as Chancellor Rachel Reeves considers ways of easing the pressure on households in next week’s budget, energy minister Michael Shanks conceded that Labour’s election pledge to cut bills by £300 by converting the UK to clean power has not been delivered.
It comes as the energy regulator Ofgem is set to announce its latest price cap this morning. Analysts expect the cap, which currently sits at £1,755 per year, to fall by 1% for a typical household – leaving energy bills still 35% higher than pre-Ukraine war levels.
The UK has the second-highest domestic and the highest industrial electricity prices among developed nations, despite renewable sources providing more than 50% of UK electricity last year.
“The truth is, we do have to build that infrastructure in order to remove the volatility of fossil fuels from people’s bills,” Mr Shanks said.
“We obviously hope that that will happen as quickly as possible, but there’s no shortcut to this, and there’s not an easy solution to building the clean power system that brings down bills.”
His comments come amid growing scepticism about the compatibility of cutting bills as well as carbon emissions, and growing evidence that the government’s pursuit of a clean power grid by 2030 is contributing to higher bills.
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While wholesale gas prices have fallen from their peak following the Russian invasion of Ukraine in 2022, energy bills remain around 35% higher than before the war, inflated by the rising cost of reducing reliance on fossil fuels.
The price of subsidising offshore wind and building and managing the grid has increased sharply, driven by supply chain inflation and the rising cost of financing major capital projects.
In response, the government has had to increase the maximum price it will pay for offshore wind by more than 10% in the latest renewables auction, and extend price guarantees from 15 years to 20.
The auction concludes early next year, but it’s possible it could see the price of new wind power set higher than the current average wholesale cost of electricity, primarily set by gas.
Renewable subsidies and network costs make up more than a third of bills and are set to grow. The cost of new nuclear power generation will be added to bills from January.
The government has also increased so-called social costs funded through bills, including the warm home discount, a £150 payment made to around six million of the least-affluent households.
Gas remains central to the UK’s power network, with around 50 active gas-fired power stations underpinning an increasingly renewable grid, and is also crucial to pricing.
Because of the way the energymarket works, wholesale gas sets the price for all sources of electricity, the majority of the time.
At Connah’s Quay, a gas-fired power station run by the German state-owned energy company Uniper on the Dee estuary in north Wales, four giant turbines, each capable of powering 300,000 homes, are fired up on demand when the grid needs them.
Energy boss: Remove policy costs from bills
Because renewables are intermittent, the UK will need to maintain and pay for a full gas network, even when renewables make up the majority of generation, and we use it a fraction of the time.
“The fundamental problem is we cannot store electricity in very large volumes, and so we have to have these plants ready to generate when customers need it,” says Michael Lewis, chief executive of Uniper.
“You’re paying for hundreds of hours when they are not used, but they’re still there and they’re ready to go at a moment’s notice.”
Image: Michael Lewis, chief executive of Uniper
He agrees that shifting away from gas will ultimately reduce costs, but there are measures the government can take in the short term.
“We have quite a lot of policy costs on our energy bills in the UK, for instance, renewables incentives, a warm home discount and other taxes. If we remove those from energy bills and put them into general taxation, that will have a big dampening effect on energy prices, but fundamentally it is about gas.”
The chancellor is understood to be considering a range of options to cut bills in the short term, including shifting some policy costs and green levies from bills into general taxation, as well as cutting VAT.
Stubbornly high energy bills have already fractured the political consensus on net zero among the major parties.
Under Kemi Badenoch, the Conservatives have reversed a policy introduced by Theresa May. Shadow energy secretary Claire Coutinho, who held the post in the last Conservative government, explained why: “Net zero is now forcing people to make decisions which are making people poorer. And that’s not what people signed up to.
“So when it comes to energy bills, we know that they’re going up over the next five years to pay for green levies.
“We are losing jobs to other countries, industry is going, and that not only is a bad thing for our country, but it also is a bad thing for climate change.”
Image: Claire Coutinho tells Sky News net zero is ‘making people poorer’
Reform UK, meanwhile, have made opposition to net zero a central theme.
“No more renewables,” says Reform’s deputy leader Richard Tice. “They’ve been a catastrophe… that’s the reason why we’ve got the highest electricity prices in the developed world because of the scandal and the lies told about renewables.
“They haven’t made our energy cheaper, they haven’t brought down the bills.”
Mr Shanks says his opponents are wrong and insists renewables remain the only long-term choice: “The cost of subsidy is increasing because of the global cost of building things, but it’s still significantly cheaper than it would be to build gas.
“And look, there’s a bigger argument here, that we’re all still paying the price of the volatility of fossil fuels. And in the past 50 years, more than half of the economic shocks this country’s faced have been the direct result of fossil fuel crises across the world.”
They’ve been billed as the “most sweeping asylum reforms in modern times” and the “biggest shake-up of the legal migration system” in nearly 50 years, but how are the UK’s rules actually changing?
One of the biggest changes will impact almost two million migrants already living in the UK while other proposals will affect people who come here in the future.
Here’s how…
How is ‘settled status’ changing?
Until now, migrants who live in the UK have needed to wait five years before they can apply to settle permanently but this qualifying period will double to 10 years – and some people could have to wait even longer.
Almost two million migrants will be affected by the changes.
Those “making a strong contribution to British life” will benefit from a reduced timeframe.
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That means doctors and nurses working in the NHS will be able to settle after five years, while high earners and entrepreneurs may able to stay after just three years.
Migrants who speak English to a high standard and volunteer could also have a faster route to settlement.
Image: NHS doctors and nurses will be eligible for settled status in five years still. Pic: iStock
At the other end of the scale, low-paid workers will be subject to a 15-year wait.
With this, the government is explicitly targeting the 616,000 people and their dependents who came to the UK on health and social care visas between 2022 and 2024 – the so-called “Boriswave”.
The government is going further still in targeting migrants who rely on benefits, quadrupling the current wait to 20 years.
There are also plans to limit benefits and social housing to British citizens only.
And though recognised refugees who came to the UK legally will still be eligible for public funding, they too will be subject to the 20-year timeframe.
How will asylum rules change?
Inspired by immigration policy in Denmark, refugee status will become temporary, lasting only until it’s safe for the person in question to return home.
This means that asylum seekers will be granted leave to remain for 30 months, instead of the current five years, with the period only extendable if they still face danger in their homeland.
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2:02
Home secretary sets out migration rules
However, refugees will be eligible to settle sooner if they get a job or enter education “at an appropriate level” under a new “work and study” visa route, and pay a fee.
The government also plans to revoke its legal duty to support asylum seekers who would otherwise be destitute, a measure it says was introduced to comply with EU laws which Britain is no longer bound by.
Instead, support will be discretionary, and some people will be excluded – such as criminals, those who refuse to relocate, those who can work but won’t, those who are disruptive in their accommodation, and those who deliberately make themselves destitute.
Additionally, asylum seekers who have assets or income will be required to contribute to the cost of supporting themselves.
What about illegal migrants?
Meanwhile, illegal migrants and those who overstay their visas face a wait of up to 30 years before qualifying for permanent settlement.
But plans to bar criminals from settlement are still being figured out, with the government saying “work will take place to consider the precise threshold” at which someone is ineligible.
“The reforms will make Britain’s settlement system by far the most controlled and selective in Europe,” according to the government.
Alongside the new measures, plans are afoot to boost the number of migrants being removed from the UK.
Image: People thought to be migrants onboard a small boat in Gravelines, France. Pic: PA
What about illegal migrants who are already here?
A “one in, one out” agreement is already in place with France, under which those who cross the channel illegally are to be sent back, with Britain accepting instead a “security-checked migrant… via a safe and legal route”.
“This pilot is under way, and the government is working in partnership with French on expansion,” according to the government.
Furthermore, refugees will not have automatic family reunion rights, and the removal of families of failed asylum seekers is to be stepped up.
Perhaps controversial are plans to offer financial support to those who agree to go voluntary.
The government argues this is “the most cost-effective approach for UK taxpayers and we will encourage people to take up these opportunities”.
Sanctions will also be imposed on nations that fail to cooperate on the return of their citizens, including suspending visas for that country.
And for those who are refused refugee status, the appeals process is to be streamlined, with one route of appeal, judged by one body, requiring applicants to make all their arguments in one go, instead of making multiple claims.
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9:07
Inside Britain’s asylum seeker capital
Human rights legislation will be reformed too, in a bid to reduce legal challenges to deportations.
Finally, the number of arrivals accepted through “safe and legal routes” will be capped, “based on local capacity to support refugees”.
The reforms will not apply to people with settled status, and there will be a consultation on “transitional arrangements” in some cases.
The five-year wait for immediate family members of UK citizens remains unchanged, as it does for Hong Kongers with British national (overseas) visas.